How much rates vary
Facilitymedian $324 · 10th to 90th $81 to $1,778Professionalmedian $209 · 10th to 90th $158 to $437
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $194.98 Median $549.54 Typical High $2,398.83 | Facility | None | $194.98 | $549.54 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $114.82 | Facility | 26 · Professional part | $48.98 | $79.43 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $218.78 Typical High $524.81 | Facility | TC · Technical part | $117.49 | $218.78 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $549.54 | Professional | None (both parts) | $165.96 | $194.98 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $63.10 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $371.54 | Professional | TC · Technical part | $117.49 | $134.90 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $676.08 Typical High $870.96 | Facility | None | $537.03 | $676.08 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $162.18 | $194.98 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $61.66 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $173.78 | Professional | TC · Technical part | $109.65 | $131.83 | $173.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $302.00 | Professional | None (both parts) | $194.98 | $239.88 | $302.00 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $81.28 | Professional | 26 · Professional part | $64.57 | $72.44 | $81.28 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $165.96 Typical High $186.21 | Professional | TC · Technical part | $151.36 | $165.96 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $870.96 | Facility | None | $524.81 | $776.25 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $346.74 Typical High $524.81 | Professional | None (both parts) | $147.91 | $346.74 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $41.69 | $60.26 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $104.71 | $257.04 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $239.88 | Professional | None | $162.18 | $190.55 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $52.48 | $58.88 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $165.96 | Professional | TC · Technical part | $109.65 | $131.83 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $426.58 Median $512.86 Typical High $524.81 | Professional | None | $426.58 | $512.86 | $524.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $87.10 | $109.65 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $478.63 Typical High $1,737.80 | Facility | None | $257.04 | $478.63 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $162.18 | $223.87 | $426.58 |
Sentara Setting Facility Modifier None Typical Low $66.07 Median $239.88 Typical High $1,202.26 | Facility | None | $66.07 | $239.88 | $1,202.26 |
Sentara Setting Professional Modifier None (both parts) Typical Low $79.43 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $79.43 | $288.40 | $524.81 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $123.03 | Professional | 26 · Professional part | $61.66 | $75.86 | $123.03 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $199.53 Typical High $363.08 | Professional | TC · Technical part | $61.66 | $199.53 | $363.08 |
United Setting Facility Modifier None Typical Low $331.13 Median $363.08 Typical High $812.83 | Facility | None | $331.13 | $363.08 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $158.49 | $263.03 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $43.65 | $74.13 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $190.55 Typical High $407.38 | Professional | TC · Technical part | $107.15 | $190.55 | $407.38 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $97.72 Typical High $117.49 | Professional | 52 · Reduced service | $83.18 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $39.81 Typical High $47.86 | Professional | 53 · Discontinued | $33.11 | $39.81 | $47.86 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $141.25 Median $165.96 Typical High $165.96 | Professional | CT · Older CT scanner | $141.25 | $165.96 | $165.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $131.83 | $158.49 | $158.49 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | 27 · Multiple hospital visits | $338.84 | $416.87 | $416.87 |
Where Virginia sits
The same service costs 5.9 times more in Vermont than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 43rd of 51
$209
VT $741UT $126
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.